Organization
HOSPICE OF FAYETTE COUNTY INC.
Active
Other names
Community Care Hospice, HOSPICE OF FAYETTE COUNTY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENT ANDERSON (CEO)
(937) 823-2631
Entity
Organization
Contact information
Practice address
222 N OAKLAND AVE, WASHINGTON COURT HOUSE, OH 43160-1234
(740) 335-0149
(740) 335-3489
Mailing address
222 NORTH OAKLAND AVENUE, WASHINGTON COURT HOUSE, OH 43160-0849
(740) 335-0149
(740) 335-3489
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
0011-HSP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000156813
ANTEHM BC/BS
OH
05
—
0819716
—
OH
Enumeration date
12/06/2005
Last updated
08/22/2024
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